Author Question: The nurse should evaluate the results of which of the following laboratory tests for a client who ... (Read 66 times)

jake · **on:** Jul 22, 2018

The nurse should evaluate the results of which of the following laboratory tests for a client who has cirrhosis in order to plan safe care?

1. Prothrombin time
2. Urinalysis
3. Serum lipase
4. Serum tropinin

Question 2

The client with breast cancer has just been admitted after four radiation treatments. After completing the initial assessment, the nurse determines that which of the following is an important nursing diagnosis for this client?

1. Excess Fluid Volume
2. Activity Intolerance
3. Ineffective Breathing Pattern
4. Risk for Infection

Danny Ewald · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1. Prothrombin time

Rationale:
Many clotting factors are produced in the liver, and the client with cirrhosis is at risk for bleeding. Prothrombin time measures the clotting time of the blood. Urinanalysis, serum lipase, and serum tropinin do not.

Answer to Question 2

4. Risk for Infection

Rationale:
Radiation causes skin excoriation. With the excoriation, the client is at risk for infection due to skin breakdown. The client who receives radiation is more at risk for fluid volume deficit. Depending on the assessment, the client may or may not have activity intolerance. There is no evidence of respiratory difficulties in this client.